Applied behavior analysis (ABA) day treatment program requirements

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Apple Health (Medicaid) Provider Alert

Attention Applied Behavior Analysis (ABA) providers:

The Health Care Authority (HCA) is fixing an error in the recent revisions to the Applied Behavior Analysis (ABA) Billing Guide, dated January 1, 2022.

In the January 1, 2022, revision, HCA added children must attend the day treatment program a minimum of three hours per day, for enough days to total a minimum of 12 hours per week. This has been updated to children must attend the day treatment program at least more than half of the allotted three hours per day, for enough days to total 12 hours per week.

This update will be reflected in the January 13, 2022, Applied Behavior Analysis (ABA) Billing Guide.